______ Regular Member - $25.00
______ Friend Member - $50.00
______ Patron Member - $100.00
______ Life Member - $1,000.00 (May be paid in four annual installments)
~ membership is tax deductible ~
please make check payable to:
James Millikin Homestead, Inc.
P.O. Box 1501
Decatur, Illinois 62525
Name__________________________________________________
Address________________________________________________
City_______________________State________________________
Zip Code_____________________
Telephone_____________________